Kho Siok Ee Sharon, Lim Siew Geok, Hoi Wai Han, Ng Poh Leng, Tan Lucy, Kowitlawakul Yanika
Author Affiliations: Nursing Service (Ms Kho and Mrs Lim), and Nurse Clinicians (Mrs Ng and Ms Tan), Tan Tock Seng Hospital; Singapore Institute of Technology (Mrs Lim); Department of Endocrinology, Tan Tock Seng Hospital (Dr Hoi); and Alice Lee Centre for Nursing Studies, National University of Singapore (Dr Kowitlawakul).
Comput Inform Nurs. 2019 Feb;37(2):99-106. doi: 10.1097/CIN.0000000000000485.
The prevalence of patients with diabetes mellitus has increased in recent years. This has resulted in increased demand for face-to-face diabetes education by diabetes nurse clinicians. The use of mobile-health technologies in diabetes education is an innovative way of learning and has the potential to engage patients and influence positive health behaviors, including meeting desired goals and diabetes-related outcomes. The aim of the study was to develop and test the usability and feasibility of an empirical diabetes application for patients with type 2 diabetes mellitus. The mobile-based, gamified Diabetes Application was developed based on a full systems development life-cycle framework. Eight patients with poorly controlled type 2 diabetes mellitus completed a pilot study that consisted of a postapplication survey to assess the usability and feasibility of the diabetes application. The findings affirmed the usefulness and feasibility of the diabetes application for patients with diabetes mellitus. It increased awareness, enriched knowledge, promoted user engagement, motivated positive behaviors, and affirmed patient belief in diabetes self-management. This article discusses the development and evaluation of the diabetes application, including modifications made based on the results of the pilot study.
近年来，糖尿病患者的患病率有所上升。这导致糖尿病护士临床医生对面对面糖尿病教育的需求增加。在糖尿病教育中使用移动健康技术是一种创新的学习方式，有可能吸引患者并影响积极的健康行为，包括实现预期目标和与糖尿病相关的结果。本研究的目的是开发并测试一款针对2型糖尿病患者的实证性糖尿病应用程序的可用性和可行性。基于完整的系统开发生命周期框架开发了这款基于移动设备的、具有游戏化特点的糖尿病应用程序。八名2型糖尿病控制不佳的患者完成了一项试点研究，该研究包括一项应用后调查，以评估糖尿病应用程序的可用性和可行性。研究结果证实了该糖尿病应用程序对糖尿病患者的有用性和可行性。它提高了认识、丰富了知识、促进了用户参与、激发了积极行为，并坚定了患者对糖尿病自我管理的信心。本文讨论了糖尿病应用程序的开发和评估，包括根据试点研究结果所做的修改。
